Jagtap, Deepa Bai
Jagtap, Deepa Bai is an individual health care provider with primary practice located at 3577 W 13 Mile Rd Suite 103, Royal Oak MI 48073-6710. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Jagtap, Deepa Bai can be contacted via phone (248) 288-4500.Contact Information
Primary practice address
3577 W 13 Mile Rd Suite 103
Royal Oak MI 48073-6710
Phone: (248) 288-4500
Fax: (248) 288-0450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301087460 | Michigan |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 4301087460 | Michigan |
Profile Details
| NPI number | 1629190095 |
|---|---|
| LBN Legal business name | Jagtap, Deepa Bai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629190095 | NPPES |
| Michigan | Other | 700H273300 | BLUE SHIELD |
| Michigan | MEDICAID | 1629190095 | BLUE SHIELD |
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